Look up the most recent NPI and PECOS records

Craig Djukic

Social Worker

Behavioral Health & Social Service Providers

2550 Som Center Rd, Willoughby Hills, OH 44094-9655

PECOS Enrollment

Based on the most recent information from CMS, provider Craig Djukic is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1851798599
Provider Type
Individual
Full Name
Djukic, Craig
Gender
Male

Sole Proprietor
No
Enumeration Date
11/24/2014
Last Updated
1/11/2018

Contact Information

Practice Location

2550 Som Center Rd, Willoughby Hills, OH 44094-9655

(440) 943-2500

Unlisted Fax

Mailing Location

3737 Lander Rd, Pepper Pike, OH 44124-5712

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License I.160031 Ohio

Provider Identifiers

ID	Description	Issuer
ID 2871101	Description Medicaid	Issuer Unlisted Ohio

Craig Djukic

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Anne Antonio & Associates Inc

Goza, Olivia

Griggs, Carolyn

O'Maille, Nancy Teresa

Renewal Room Llc

Tipton, Sharon J.

Leach, Wayne

Vittek, Jennifer Elizabeth

Lemoine Psychotherapy Inc

Weinstein, Deborah Merle